METAIRIE HEALTH MART LLC
NPI: 1285130385
· METAIRIE, LA 70001
· Pharmacy
· NPI assigned 04/05/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | VASQUEZ, ELLA (OWNER, PIC, AO) |
| NPI Enumeration Date | 04/05/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
94 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
34 |
34 |
$0.00 |
| 0064A |
|
16 |
16 |
$0.00 |
| 0011A |
|
44 |
44 |
$0.00 |